IHPs

AdobeRN · Mar 2, 2018

We have very vague guidelines - which is fine by me. I find IHP's for the most part useless and unnecessary paper work - basically a care plan written by me for me to follow. I do them on kids that I see frequently for medical issues, kids that I provide frequent care for in the clinic - diabetics, the asthma kids that are just not well controlled, ADHD kids that I administer medication to on a daily basis - all others are on a case by case basis - I have had a few with bad concussions or were in bad accidents that had temp 504's that I had to write one for. Other than that I try to avoid them at all costs :)

SavyNurse, ADN, EMT-B · Mar 2, 2018

Where I just started working IHPs are only for those with severe medical issues. My school is pretty tame in that department so mostly I write them for those with severe allergies where they require to have an EpiPen present.

WineRN · Mar 2, 2018

Any student that has a medical condition that can alter their performance at school (all my asthmatics, diabetics, food allergy etc)

iggywench, BSN, RN · Mar 2, 2018

We have fairly vague guidelines for IHPs. We have these "Action Plans" for Diabetes, Seizures, and Severe Allergies, which cover the procedures for handling an emergency, and I feel like IHPs are stating the same thing most of the time. I generally write them for my students who will require daily procedures or emergency medications, but not for students with ADHD. I don't do anything special for them beyond administering a pill, and I have a medication form for those.

chasinRT · Mar 2, 2018

I have kids with allergy action plans, seizure plans, and asthma action plans. I do IHP's for kids with medical needs that don't fall in to those categories i.e. IDDM, g-tubes. As few as possible.

ruby_jane, BSN, RN · Mar 2, 2018

Any student that has a medical condition that can alter their performance at school (all my asthmatics, diabetics, food allergy etc)

I would add....that I do something about. Do they have equipment or medication here? Do I administer or do they carry?

Our district requires a certain level of training for teachers with students who are diabetic and to know how to use an Epi Pen for students who have severe allergies. But if I'm not doing anything (student carries med and is stable) then do I need an IHP? Probably not. Hope that helps.

GdBSN, RN · Mar 2, 2018

To help me figure out which students I do IHP's for:

Do they have a medical dx and/or doctor's orders, and do I do something for them in the clinic?

I don't write them for self-carry students. Most of those students I never see during the school year.

WineRN · Mar 2, 2018

I would add....that I do something about. Do they have equipment or medication here? Do I administer or do they carry?
Our district requires a certain level of training for teachers with students who are diabetic and to know how to use an Epi Pen for students who have severe allergies. But if I'm not doing anything (student carries med and is stable) then do I need an IHP? Probably not. Hope that helps.

Yes I should've added that in too! :)

Schoolnurse73, ADN · Mar 2, 2018

That sounds like a lot of IHP's how many students are on your campus?

ruby_jane, BSN, RN · Mar 2, 2018

That sounds like a lot of IHP's how many students are on your campus?

Less than 100 - diabetes, really bad asthma, seizure activity, EpiPens.... N = 2300 kids.

WineRN · Mar 2, 2018

That sounds like a lot of IHP's how many students are on your campus?

I have around 450 students. Our SNAP program makes it super easy to do IHPs so it doesn't really take me to much time to get one done.